MARY ETHERIDGE WALLACE LPC
NPI 1801136809
Counselor - Professional in Elizabeth City, NC

Q: What is Mary Wallace's NPI number?

The NPI number for Mary Wallace is 1801136809. It was assigned to this individual provider in the NPPES registry on February 27, 2013.

Q: What is Mary Wallace's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.

Q: When was this NPI record last updated?

The NPPES record for Mary Wallace was last updated on September 6, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since February 27, 2013

303 E. MAIN STREET SUITE 9, ELIZABETH CITY, NC 27909(252) 619-6629(252) 331-2499 Get Directions Write a Review

NPPES record last updated: September 6, 2018. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Sep 6, 2018, Sep 2, 2018 (2 updates tracked since 2018).

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About Mary Etheridge Wallace Lpc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MARY ETHERIDGE WALLACE LPC (NPI 1801136809) is an individual professional provider in Elizabeth City, North Carolina, licensed in North Carolina (12837) and active in the NPI registry since February 2013. She maintains a secondary practice location in Virginia Beach.

NPPES Registry Identity

NPI1801136809

Entity TypeIndividualFemale

Primary Taxonomy101YP2500X

Provider Legal NameMARY ETHERIDGE WALLACECredential: LPC

Location Address303 E. MAIN STREET SUITE 9Elizabeth City, NC 27909

Mailing Address303 E. Main Street Suite 9Elizabeth City, NC 27909-4452 · (252) 619-6629 · Fax (252) 331-2499

Phone(252) 619-6629

Fax(252) 331-2499

Sole ProprietorNo

Enumeration DateFebruary 27, 2013

Last NPPES UpdateSeptember 6, 20182 updates tracked since enumeration

✔ NPI 1801136809 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers

Taxonomy Code101YP2500X

Licenses✔ Licensed in NC · 12837✔ Licensed in VA · 0701005385

303 E. MAIN STREET SUITE 9, Elizabeth City, NC 27909

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Secondary Practice Location 1

Location 1281 Independence Blvd, Suite 326Virginia Beach, VA 23462-2986 · Phone (757) 490-0377 · Fax (757) 497-1327

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of NC, Oscar Health Plan of North Carolina, Inc, UnitedHealthcare.Insurance ›

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Mary Wallace's NPI number?

The NPI number for Mary Wallace is 1801136809. It was assigned to this individual provider in the NPPES registry on February 27, 2013.

Where is Mary Wallace located?

Mary Wallace practices at 303 E. Main Street Suite 9, Elizabeth City, NC 27909. The listed phone number is (252) 619-6629.

What is Mary Wallace's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.

What insurance does Mary Wallace accept?

Health plans from Blue Cross and Blue Shield of NC, Oscar Health Plan of North Carolina, Inc and UnitedHealthcare list Mary Wallace as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Mary Wallace was last updated on September 6, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.